Clinitouch, originating in the UK NHS, is expanding globally with a focus on chronic conditions and adapting to regional nuances in healthcare delivery.
In this discussion several speakers discuss telemedicine in the context of Nigeria and South Africa.
Speakers are:
Bruce Adams, Commercial Director at Clinitouch (UK)
Japie De Jongh, CEO, Synaxon (South Africa)
Dr John Adesioye, CEO, Utopian Consulting (Nigeria)
Liam van Rooyen, System Support Manager (Synaxon, South Africa)
Key points:
African Context and Healthcare from the Transcript
Role of Remote Patient Monitoring in Addressing Healthcare Gaps:
Dr. John Aade (Nigeria) emphasized that remote patient monitoring (RPM) emerged as a practical solution during the COVID-19 pandemic, addressing the need for care delivery without physical hospital visits. In Nigeria, RPM is particularly relevant for patients in remote or underserved areas, enabling data collection and transmission to healthcare providers without requiring face-to-face interactions.
Community health workers often play a crucial role, stepping in where doctors and nurses are unavailable. They collect patient data, assess needs, and escalate cases to medical professionals when necessary, highlighting RPM's potential in resource-limited settings.
The Dual Healthcare Systems in South Africa:
Jaapie de Jong (South Africa) explained the dichotomy of healthcare in South Africa: the private sector, serving insured patients with robust infrastructure, and the public sector, catering to the uninsured population through community healthcare clinics (CHCs) and basic clinics.
He noted that while the private sector is aligned with international standards, the public sector faces capacity challenges. RPM in South Africa focuses on insured patients with chronic conditions, such as hypertension and diabetes, to reduce hospital visits and improve care efficiency.
Challenges to Technology Adoption in Africa:
Both Dr. John and Jaapie highlighted several barriers to adopting RPM technology:
Device Compatibility and Connectivity: Limited access to smartphones and stable internet connectivity is a significant challenge. Many patients rely on basic phones and are hesitant to allocate resources for more advanced devices.
Trust Issues: Patients often worry about data privacy and fraud, especially in regions like South Africa, where cell phone fraud is common. Providers must build trust by ensuring data security and clarifying the purpose and safety of the technology.
Power and Infrastructure Limitations: In Nigeria, power outages and the high cost of diesel for generators disrupt patients' ability to use RPM devices consistently.
Economic Considerations and Funding Models:
Bruce Adams noted that RPM adoption heavily depends on who pays for the service. In many African countries, healthcare services involve a mix of out-of-pocket payments and insurer-funded models.
In South Africa, as explained by Jaapie, medical aid schemes (insurers) play a critical role in covering high-risk, chronic condition patients. However, integrating RPM into existing reimbursement structures and ensuring that providers are compensated for remote care remain challenging.
Localized Implementation of UK-Inspired Technology:
Bruce Adams stressed the importance of adapting Clinitouch's UK-developed RPM platform to local African contexts. Instead of directly transplanting the UK model, Clinitouch collaborates with local partners to understand specific healthcare needs and tailor the platform accordingly.
Jaapie praised the platform's flexibility and customization, noting its suitability for South African chronic disease management programs. The ability to localize the tool for hypertension, diabetes, and other chronic conditions was cited as a significant advantage in addressing Africa’s healthcare challenges.
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https://fodh.substack.com/
[00:00:00] Dear listeners, welcome to Faces of Digital Health, a podcast about digital health and how healthcare systems around the world adopt technology with me, Tjasa Zajc
[00:00:15] Remote patient monitoring is becoming more and more a standard of practice, but to a degree it depends on where it is done
[00:00:25] So in today's episode we're going to jump to Africa, more specifically Nigeria and South Africa
[00:00:34] where you will hear from several representatives from Clinitouch, a company originating in the UK NHS
[00:00:41] and expanding globally with a focus on chronic conditions and adapting to regional nuances in healthcare delivery
[00:00:48] The speakers in today's episode are Bruce Adams, Commercial Director at Clinitouch from the UK
[00:00:55] Japi DeLong, CEO of Synexon based in South Africa
[00:01:00] John Adesioze, CEO of Utopian Consulting in Nigeria
[00:01:05] and Liam Van Rojan, System Support Manager from Synexon in South Africa
[00:01:13] Enjoy the show and if you haven't yet, make sure to subscribe to the podcast wherever you listen to your podcasts
[00:01:19] and also check out our newsletter which you can find at fodh.substack.com
[00:01:25] Now let's dive in
[00:01:40] Hello everyone and thank you so much for joining me here on Faces of Digital Health
[00:01:45] for a discussion on remote patient monitoring
[00:01:49] especially in Africa and in different settings around the world
[00:01:54] I was initially contacted by the Clinitouch team
[00:01:58] so Bruce Adams, I will give the word to you to tell us who else is with us here today
[00:02:04] we've got clinicians, we've got your partners
[00:02:06] so we really can dig into very deeply into the discussion from various perspectives
[00:02:12] Thank you
[00:02:14] Yes, I'm Bruce Adams, I'm the Managing Doctor
[00:02:17] to Clinitouch
[00:02:18] a platform with its reach in the UK NHS
[00:02:22] over the last couple of years has been expanding across the globe
[00:02:26] so we
[00:02:27] partners and projects across five continents
[00:02:29] and
[00:02:31] focus on expanding this technology
[00:02:34] through the Commonwealth
[00:02:35] in partnership with the UK government
[00:02:39] thoroughly delighted to be joined
[00:02:42] with a couple of our partners today
[00:02:44] to talk about their experiences
[00:02:46] with this technology
[00:02:47] the Grecke and the way it fits
[00:02:49] but I'll do my own introduction
[00:02:51] so
[00:02:53] Dr. John, do you like to go first?
[00:02:56] Hello, my name is Dr. John Adeshiye
[00:02:58] I am a
[00:02:59] an anesthesia training pain and interventional spine
[00:03:02] specialist
[00:03:03] specialist, I am the CEO of Utopian Consulting
[00:03:07] LLC
[00:03:08] a healthcare business advisory firm
[00:03:10] that does majority of its work in Nigeria
[00:03:13] I will represent Kegitouch in Nigeria
[00:03:17] Thank you, John
[00:03:19] and then we've got Liam
[00:03:21] Liam, do you want to go next?
[00:03:26] So, my name is Liam Van Ruin
[00:03:27] I'm one of the Clinitouch system support managers here in South Africa
[00:03:31] I work for Yaku Giong and Synaxon
[00:03:33] and I am responsible for a lot of the operations management of patient-client interactions on the application
[00:03:43] and I work very closely with Yaku Giong to make sure
[00:03:45] Pliny Touch is a success in South Africa
[00:03:48] Okay, thank you
[00:03:50] and Yaku?
[00:03:51] Hi, my name is Yaku Giong
[00:03:53] I'm head of a tech company here in Pretorio, South Africa
[00:03:57] so we have a collaboration with Clinic Touch
[00:04:00] we've been collaborating for the last 12 months or so
[00:04:04] in commercial projects
[00:04:06] and we are very excited about the project
[00:04:09] we've got early outcomes on the data
[00:04:13] looks very promising
[00:04:14] and certainly very positive on the project
[00:04:18] and very excited to share some of the conversations with you
[00:04:21] what we're doing
[00:04:22] and share maybe some of the results
[00:04:25] Okay, awesome
[00:04:27] thank you Yaku
[00:04:28] Bruce, if we start with you
[00:04:30] so you work in very different contexts
[00:04:33] in relates to remote patient monitoring
[00:04:36] remote patient monitoring is something that we like to talk about
[00:04:40] in very different contexts
[00:04:42] there's virtual wards in the UK
[00:04:44] there's a clear need to monitor chronic patients remotely
[00:04:48] so we don't just get snapshot of their health
[00:04:52] and get a broader picture of how they're doing
[00:04:56] or to make it easier to interact with them
[00:04:58] How is Clinic Touch looking at this topic?
[00:05:02] How do you see that remote patient monitoring
[00:05:04] has been evolving over years?
[00:05:07] And where would you say we are today
[00:05:10] when we talk about remote patient monitoring?
[00:05:12] There's hugely different applications of remote patient
[00:05:18] that varies both within country
[00:05:23] within regions within country
[00:05:25] and across continents
[00:05:28] so yes, you're completely right
[00:05:30] the remote patient monitoring drive in the UK
[00:05:34] especially over the last two years
[00:05:36] has been slightly more high acute
[00:05:38] and in creating more capacity within hospitals
[00:05:41] both in a step up and step down perspective
[00:05:46] but when we look at the large health economic benefit
[00:05:50] patient monitoring
[00:05:51] it is in managing long-term chronic conditions
[00:05:55] and that is our core passion
[00:06:00] I believe Clinic Touch has been successful
[00:06:03] over the last couple of years
[00:06:05] as we've started to internationalise
[00:06:07] our technology
[00:06:09] is in not trying to pick up
[00:06:11] a UK model
[00:06:12] and drop it into other countries
[00:06:16] we went on a big drive
[00:06:18] to identify, recruit, coach, mentor
[00:06:24] local partners
[00:06:25] two of which are on the call today
[00:06:26] and we are very much driven
[00:06:29] by their experience on the ground
[00:06:32] and where patient monitoring
[00:06:34] such as Clinic Touch
[00:06:36] delivers the highest health economic benefit
[00:06:38] for the populations
[00:06:40] within those countries
[00:06:42] we do see more commonality
[00:06:44] across continents
[00:06:46] than we do differences
[00:06:47] but that doesn't mean that
[00:06:49] local nuance isn't important
[00:06:53] but essentially for us
[00:06:56] the area where remote patient monitoring
[00:07:00] has the most impact
[00:07:02] is in the management
[00:07:03] and proactive management
[00:07:04] of long-term chronic conditions
[00:07:07] yes it has other applications
[00:07:09] but where this can make big differences
[00:07:11] in that space
[00:07:12] okay thank you Bruce
[00:07:13] so if we move to John
[00:07:15] who's based in Nigeria
[00:07:16] and Yapi who is in South Africa
[00:07:19] can you talk a little bit more
[00:07:22] about the context there
[00:07:23] so we know that
[00:07:25] in many African countries
[00:07:27] and contexts
[00:07:27] what healthcare is strong at
[00:07:30] is regional and community care
[00:07:33] where nurses do a lot of work
[00:07:34] so the nursing workforce
[00:07:36] is quite strong
[00:07:37] so who does remote patient monitoring
[00:07:40] in your case
[00:07:41] which disease areas do you cover
[00:07:44] and are we talking mostly about
[00:07:47] higher end patients
[00:07:49] patients that are more wealthy
[00:07:51] so let's just start with that
[00:07:53] and maybe John
[00:07:54] you can start with Nigeria
[00:07:57] thanks Yasa
[00:07:58] basically as far as Nigeria is concerned
[00:08:01] remote patient monitoring
[00:08:02] is a bit of a new phenomenon
[00:08:04] if I can put it that way
[00:08:06] and a lot of this has translated
[00:08:08] from the COVID period
[00:08:11] in which people had to basically get care
[00:08:13] and not needing to go
[00:08:16] into a healthcare facility
[00:08:17] or wanting to go into
[00:08:18] a healthcare facility
[00:08:19] so that has basically kicked off
[00:08:22] the use of technology in healthcare
[00:08:24] so in our situation
[00:08:27] we use remote patient monitoring
[00:08:29] to collect data from patients
[00:08:30] mostly in remote areas
[00:08:32] in communities
[00:08:34] and in their homes
[00:08:35] and basically transmit this
[00:08:37] to their healthcare providers
[00:08:39] and the healthcare providers vary
[00:08:41] depending on the setting
[00:08:42] in some situations
[00:08:43] it's the clinicians themselves
[00:08:45] who actually collect this data
[00:08:47] from the patients
[00:08:48] at times it's case workers
[00:08:50] that work for things like
[00:08:51] insurance companies
[00:08:52] or for other entities
[00:08:55] that may be geriatricians
[00:08:57] that basically look after
[00:08:58] all the patients in their homes
[00:09:00] and they just have a hub of people
[00:09:02] that actually look after those patients
[00:09:04] from time to time
[00:09:05] it varies depending on
[00:09:07] who the provider is
[00:09:08] or what the setting is
[00:09:09] whether it's a clinician
[00:09:11] whether it's a hospital itself
[00:09:12] or an insurance company
[00:09:14] and the need varies
[00:09:16] from clinical conditions
[00:09:17] in this setting
[00:09:18] we think
[00:09:19] the best use of it
[00:09:20] would be in chronic conditions
[00:09:22] just like Bruce said
[00:09:23] and they're monitoring
[00:09:24] these patients
[00:09:25] who for the most part
[00:09:26] for various reasons
[00:09:28] don't either need to
[00:09:30] or want to commit
[00:09:31] to a healthcare facility
[00:09:32] and we think
[00:09:33] based on that
[00:09:34] the use of remote patient
[00:09:36] monitoring
[00:09:36] is actually very applicable
[00:09:37] in this setting
[00:09:39] you mentioned community
[00:09:40] in a lot of places
[00:09:41] we don't have doctors
[00:09:42] or nurses
[00:09:43] we use community
[00:09:45] healthcare workers
[00:09:46] so these can collect
[00:09:48] the information
[00:09:49] or beat the contact person
[00:09:50] for these informations
[00:09:51] and they can use
[00:09:52] whatever they get
[00:09:54] to decide
[00:09:55] who actually needs
[00:09:56] to see a nurse
[00:09:57] or contact a nurse
[00:09:59] or contact a healthcare provider
[00:10:00] and so on and so forth
[00:10:02] so that's
[00:10:03] where we see it
[00:10:05] in this environment
[00:10:06] Yappi
[00:10:07] what is the situation
[00:10:08] in South Africa
[00:10:09] and maybe just to add
[00:10:11] to that
[00:10:11] I know that
[00:10:12] in Africa
[00:10:13] there's not a lot
[00:10:14] of doctors
[00:10:15] the ratio
[00:10:16] between doctors
[00:10:17] and patients
[00:10:18] is really low
[00:10:18] so to which extent
[00:10:20] is
[00:10:21] if it is
[00:10:22] remote patient
[00:10:23] monitoring
[00:10:24] addressing
[00:10:25] the need
[00:10:26] for workforce
[00:10:27] how is it
[00:10:29] impacting
[00:10:30] the care
[00:10:31] delivery
[00:10:31] in terms
[00:10:32] of accessibility
[00:10:34] nice
[00:10:35] thanks Tasha
[00:10:36] I hope you can
[00:10:36] hear me well
[00:10:37] we can
[00:10:38] the South African
[00:10:38] set up
[00:10:39] we got
[00:10:40] a split system
[00:10:41] we got
[00:10:42] the private sector
[00:10:43] and we got
[00:10:44] the public sector
[00:10:45] the private sector
[00:10:46] list of
[00:10:49] plus minus
[00:10:50] 12,000
[00:10:51] GP's
[00:10:51] in South Africa
[00:10:53] we got a very
[00:10:54] specialized
[00:10:55] network
[00:10:56] of physicians
[00:10:57] specialists
[00:10:57] specialist
[00:10:58] and a very
[00:10:59] good hospital
[00:11:00] infrastructure
[00:11:01] I think our
[00:11:02] private healthcare
[00:11:03] really very much
[00:11:04] on standard
[00:11:05] in terms of
[00:11:05] world standards
[00:11:06] I think our
[00:11:07] public sector
[00:11:08] very similar
[00:11:09] our public
[00:11:10] sector
[00:11:11] catered for
[00:11:11] people that
[00:11:12] are uninsured
[00:11:13] so they go
[00:11:14] to the public
[00:11:15] facilities
[00:11:16] it breaks down
[00:11:17] on various levels
[00:11:18] we got
[00:11:19] entry level
[00:11:20] facilities
[00:11:20] which is just
[00:11:21] a clinic
[00:11:21] where there's
[00:11:22] normally
[00:11:22] just like you
[00:11:23] said
[00:11:23] nurse physicians
[00:11:24] and then we
[00:11:26] got larger
[00:11:26] public
[00:11:27] facilities
[00:11:27] at what
[00:11:28] we call
[00:11:28] the CHC
[00:11:29] community
[00:11:30] healthcare
[00:11:30] clinics
[00:11:31] they're large
[00:11:33] facilities
[00:11:33] they consist
[00:11:34] of doctors
[00:11:35] primary physicians
[00:11:37] occupational
[00:11:38] healthcare
[00:11:39] so we
[00:11:40] got a proper
[00:11:41] in South Africa
[00:11:42] very deep
[00:11:43] rooted
[00:11:43] proper
[00:11:44] quality
[00:11:44] healthcare
[00:11:45] system
[00:11:45] of course
[00:11:46] many people
[00:11:47] are deprived
[00:11:48] from private
[00:11:48] healthcare
[00:11:49] so we
[00:11:51] are ultimately
[00:11:51] with
[00:11:52] Spirit Health
[00:11:53] and Clinic
[00:11:53] Touch
[00:11:53] we want
[00:11:55] to focus
[00:11:55] on
[00:11:55] the holistic
[00:11:57] potential
[00:11:57] of the
[00:11:58] program
[00:11:58] we started
[00:12:00] off with
[00:12:01] the public
[00:12:01] sector
[00:12:02] sorry
[00:12:03] with the
[00:12:04] private
[00:12:04] sector
[00:12:05] in South
[00:12:06] Africa
[00:12:06] we call it
[00:12:07] health
[00:12:07] insurance
[00:12:07] people
[00:12:08] buy their
[00:12:09] insurance
[00:12:09] they pay
[00:12:10] monthly
[00:12:10] for their
[00:12:11] insurance
[00:12:11] and
[00:12:12] for their
[00:12:13] insurance
[00:12:14] they get
[00:12:14] a card
[00:12:15] very similar
[00:12:17] to an
[00:12:17] NHS
[00:12:17] and with
[00:12:18] this card
[00:12:19] they can
[00:12:19] access
[00:12:20] care
[00:12:20] they can
[00:12:21] access
[00:12:21] care
[00:12:23] traditionally
[00:12:24] the
[00:12:25] patient
[00:12:25] monitoring
[00:12:25] or the
[00:12:26] virtual
[00:12:27] ward
[00:12:27] is not
[00:12:28] a big
[00:12:28] focus
[00:12:29] in South
[00:12:29] Africa
[00:12:30] currently
[00:12:30] it's
[00:12:31] an emerging
[00:12:31] market
[00:12:32] I think
[00:12:33] we're ahead
[00:12:33] of the
[00:12:33] curve
[00:12:33] with
[00:12:34] Spirit
[00:12:34] and
[00:12:34] with
[00:12:35] Clinic
[00:12:35] Touch
[00:12:35] I think
[00:12:36] with
[00:12:36] being ahead
[00:12:38] of the
[00:12:38] curve
[00:12:38] there's
[00:12:39] certain
[00:12:39] big
[00:12:39] opportunities
[00:12:40] but
[00:12:40] there's
[00:12:41] also
[00:12:41] obviously
[00:12:42] certain
[00:12:43] barriers
[00:12:43] to entry
[00:12:44] so
[00:12:45] your question
[00:12:46] in terms
[00:12:47] of what
[00:12:47] kind of
[00:12:48] patient
[00:12:48] we're
[00:12:48] currently
[00:12:49] looking
[00:12:49] at
[00:12:49] so
[00:12:49] currently
[00:12:50] we're
[00:12:50] looking at
[00:12:51] the
[00:12:51] medical
[00:12:52] age
[00:12:52] scheme
[00:12:52] patient
[00:12:53] there's
[00:12:54] plus
[00:12:54] minus
[00:12:55] 13
[00:12:55] million
[00:12:56] of
[00:12:56] those
[00:12:57] patients
[00:12:57] in
[00:12:57] South
[00:12:57] Africa
[00:12:58] of
[00:12:58] our
[00:12:58] population
[00:12:59] of
[00:12:59] around
[00:12:59] about
[00:13:00] 60
[00:13:00] million
[00:13:01] people
[00:13:01] there are
[00:13:02] various
[00:13:03] medical
[00:13:03] age
[00:13:03] schemes
[00:13:04] with
[00:13:04] various
[00:13:05] options
[00:13:05] with
[00:13:06] various
[00:13:07] benefits
[00:13:07] what
[00:13:08] we've
[00:13:08] selected
[00:13:09] to do
[00:13:09] is
[00:13:09] to
[00:13:10] focus
[00:13:10] on
[00:13:10] the
[00:13:11] chronic
[00:13:12] cohort
[00:13:12] patients
[00:13:13] on
[00:13:13] chronic
[00:13:13] disease
[00:13:14] specifically
[00:13:15] patients
[00:13:16] with
[00:13:16] a
[00:13:17] high
[00:13:17] risk
[00:13:18] and
[00:13:18] a
[00:13:18] very
[00:13:18] high
[00:13:19] risk
[00:13:19] what
[00:13:20] that
[00:13:20] basically
[00:13:21] means
[00:13:21] is
[00:13:21] it's
[00:13:22] a
[00:13:22] patient
[00:13:22] that
[00:13:23] is
[00:13:23] compromised
[00:13:23] on
[00:13:24] a
[00:13:24] chronic
[00:13:25] condition
[00:13:25] in
[00:13:25] South
[00:13:25] Africa
[00:13:26] we've
[00:13:26] got
[00:13:26] 26
[00:13:27] registered
[00:13:27] chronic
[00:13:28] conditions
[00:13:28] and
[00:13:30] we're
[00:13:30] focusing
[00:13:30] on
[00:13:31] them
[00:13:31] basically
[00:13:33] on a
[00:13:34] professional
[00:13:35] basis
[00:13:35] so we've
[00:13:36] started
[00:13:36] with
[00:13:37] hypertension
[00:13:37] and ischemic
[00:13:38] heart
[00:13:38] disease
[00:13:39] and
[00:13:40] we've
[00:13:40] expanded
[00:13:41] to
[00:13:42] sugar
[00:13:42] diabetes
[00:13:43] and
[00:13:44] eventually
[00:13:44] we will
[00:13:45] get to
[00:13:45] other
[00:13:46] specialized
[00:13:46] illnesses
[00:13:47] so your
[00:13:48] question in
[00:13:49] terms of
[00:13:49] the
[00:13:49] patient
[00:13:50] so these
[00:13:51] patients
[00:13:52] vary from
[00:13:53] option scheme
[00:13:53] and plan
[00:13:54] it might be
[00:13:55] entry level
[00:13:56] options on
[00:13:57] a medical
[00:13:57] age scheme
[00:13:58] to very
[00:13:59] advanced
[00:13:59] options
[00:14:00] depending
[00:14:00] on what
[00:14:01] the patient
[00:14:02] is willing
[00:14:02] to pay
[00:14:03] monthly
[00:14:03] it's
[00:14:04] the
[00:14:04] insurance
[00:14:04] model
[00:14:05] it's
[00:14:05] not
[00:14:05] it's
[00:14:06] not
[00:14:06] a
[00:14:06] national
[00:14:07] health
[00:14:07] insurance
[00:14:08] model
[00:14:08] like
[00:14:08] in
[00:14:08] the
[00:14:08] UK
[00:14:09] but
[00:14:10] we
[00:14:10] are
[00:14:10] also
[00:14:10] making
[00:14:11] progress
[00:14:11] towards
[00:14:12] that
[00:14:12] kind
[00:14:13] of
[00:14:13] model
[00:14:14] and
[00:14:14] once
[00:14:15] again
[00:14:15] therefore
[00:14:16] we
[00:14:16] think
[00:14:16] the
[00:14:17] virtual
[00:14:17] platform
[00:14:18] very
[00:14:18] appropriate
[00:14:19] and
[00:14:20] we'll
[00:14:20] deal
[00:14:20] with
[00:14:21] some
[00:14:21] of
[00:14:21] the
[00:14:21] examples
[00:14:22] so I'm
[00:14:22] not sure
[00:14:23] if I
[00:14:23] addressed
[00:14:23] you
[00:14:24] well
[00:14:25] yes
[00:14:25] you
[00:14:26] did
[00:14:26] and
[00:14:26] actually
[00:14:27] I
[00:14:27] have
[00:14:27] five
[00:14:27] follow-up
[00:14:28] questions
[00:14:29] for
[00:14:30] that
[00:14:30] for
[00:14:30] others
[00:14:31] as well
[00:14:31] one
[00:14:32] thing
[00:14:32] that
[00:14:32] you
[00:14:32] got
[00:14:32] me
[00:14:33] thinking
[00:14:33] when
[00:14:33] you
[00:14:33] started
[00:14:33] explaining
[00:14:34] a lot
[00:14:34] on
[00:14:35] which
[00:14:35] patients
[00:14:35] do
[00:14:35] you
[00:14:35] focus
[00:14:36] on
[00:14:36] and
[00:14:36] how
[00:14:36] do
[00:14:36] you
[00:14:37] work
[00:14:37] is
[00:14:37] and
[00:14:38] I
[00:14:38] think
[00:14:38] this
[00:14:38] is
[00:14:38] a
[00:14:43] so
[00:14:43] in
[00:14:43] October
[00:14:44] 2024
[00:14:44] in
[00:14:45] the
[00:14:45] US
[00:14:45] is
[00:14:46] this
[00:14:46] huge
[00:14:46] uncertainty
[00:14:47] around
[00:14:48] how
[00:14:48] telemedicine
[00:14:49] is going
[00:14:50] to be
[00:14:50] covered
[00:14:51] up until
[00:14:51] now
[00:14:52] because
[00:14:52] of
[00:14:52] the
[00:14:52] pandemic
[00:14:53] especially
[00:14:54] for
[00:14:54] mental
[00:14:54] health
[00:14:55] clinicians
[00:14:55] were able
[00:14:56] to prescribe
[00:14:56] medications
[00:14:57] to patients
[00:14:58] even if
[00:14:58] they didn't
[00:14:58] see them
[00:14:59] and now
[00:15:00] that's
[00:15:00] probably
[00:15:00] going
[00:15:01] to
[00:15:01] change
[00:15:01] so
[00:15:02] there
[00:15:02] is
[00:15:13] telemedicine
[00:15:14] they go
[00:15:15] together
[00:15:15] at the
[00:15:15] same
[00:15:16] time
[00:15:16] they're
[00:15:16] not
[00:15:16] exactly
[00:15:17] the
[00:15:17] same
[00:15:17] thing
[00:15:18] so
[00:15:18] how
[00:15:18] do
[00:15:19] you
[00:15:19] differentiate
[00:15:19] between
[00:15:20] the
[00:15:21] two
[00:15:21] especially
[00:15:22] in
[00:15:22] the
[00:15:22] context
[00:15:23] of
[00:15:23] countries
[00:15:23] that
[00:15:23] you
[00:15:24] work
[00:15:24] in
[00:15:24] so
[00:15:26] first
[00:15:27] and
[00:15:28] foremost
[00:15:29] is
[00:15:30] use
[00:15:30] the
[00:15:31] US
[00:15:31] example
[00:15:32] and
[00:15:33] what's
[00:15:34] really
[00:15:34] important
[00:15:35] we have
[00:15:35] a saying
[00:15:35] here
[00:15:36] in
[00:15:43] understand
[00:15:44] who
[00:15:44] will
[00:15:45] foot
[00:15:45] the
[00:15:45] bill
[00:15:45] for
[00:15:46] the
[00:15:46] patient
[00:15:46] boundary
[00:15:47] now
[00:15:47] that
[00:15:47] varies
[00:15:48] across
[00:15:49] the
[00:15:49] world
[00:15:49] so
[00:15:50] we
[00:15:50] have
[00:15:50] countries
[00:15:51] like
[00:15:51] India
[00:15:51] and
[00:15:52] many
[00:15:53] countries
[00:15:53] across
[00:15:53] Africa
[00:15:54] where
[00:15:54] there's
[00:15:54] a lot
[00:15:55] of
[00:15:55] out of
[00:15:55] pocket
[00:15:56] payments
[00:15:56] but
[00:15:59] many
[00:16:00] countries
[00:16:00] as well
[00:16:01] the
[00:16:02] health
[00:16:03] insurers
[00:16:03] themselves
[00:16:04] because
[00:16:05] the
[00:16:05] downstream
[00:16:05] healthcare
[00:16:06] savings
[00:16:06] are so
[00:16:07] significant
[00:16:07] for
[00:16:08] health
[00:16:08] insurers
[00:16:08] if we
[00:16:09] can
[00:16:09] prevent
[00:16:09] people
[00:16:10] coming
[00:16:10] into
[00:16:11] hospital
[00:16:12] and
[00:16:13] clinics
[00:16:13] and
[00:16:13] keep
[00:16:14] people
[00:16:14] at home
[00:16:14] the
[00:16:15] patients
[00:16:15] are
[00:16:15] happy
[00:16:15] etc
[00:16:16] etc
[00:16:16] to
[00:16:17] answer
[00:16:17] specifically
[00:16:18] to
[00:16:18] your
[00:16:20] question
[00:16:21] around
[00:16:21] remote
[00:16:22] patient
[00:16:22] monitoring
[00:16:22] and
[00:16:22] telemedicine
[00:16:23] and
[00:16:23] where
[00:16:23] the
[00:16:25] crossover
[00:16:25] is
[00:16:26] essentially
[00:16:26] I don't
[00:16:27] think
[00:16:27] there's
[00:16:28] a clear
[00:16:28] delineation
[00:16:29] but
[00:16:30] where
[00:16:30] we
[00:16:36] clinicians
[00:16:36] to
[00:16:37] make
[00:16:37] a
[00:16:37] clinical
[00:16:38] and
[00:16:38] treatment
[00:16:38] decision
[00:16:39] so
[00:16:40] we
[00:16:40] are
[00:16:40] in
[00:16:40] the
[00:16:40] game
[00:16:41] of
[00:16:41] gathering
[00:16:42] data
[00:16:43] both
[00:16:44] problems
[00:16:44] and
[00:16:44] problems
[00:16:45] and holistic
[00:16:45] type
[00:16:45] data
[00:16:46] and
[00:16:46] vital
[00:16:46] signs
[00:16:47] data
[00:16:47] in
[00:16:48] order
[00:16:49] to
[00:16:49] identify
[00:16:50] where
[00:16:50] treatment
[00:16:51] may
[00:16:52] be
[00:16:52] required
[00:16:53] and
[00:16:54] that's
[00:16:54] provided
[00:16:54] to the
[00:16:55] doctors
[00:16:55] so
[00:16:56] the
[00:16:56] doctors
[00:16:56] can
[00:16:57] make
[00:16:58] that
[00:16:58] treatment
[00:16:59] decision
[00:17:00] and
[00:17:00] target
[00:17:00] their
[00:17:00] very
[00:17:01] valuable
[00:17:01] and
[00:17:01] sometimes
[00:17:02] limited
[00:17:02] resource
[00:17:03] in the
[00:17:03] most
[00:17:03] appropriate
[00:17:04] way
[00:17:05] now
[00:17:06] Clinitouch
[00:17:08] is a
[00:17:08] tool
[00:17:08] has
[00:17:09] video
[00:17:09] consultation
[00:17:11] functionality
[00:17:12] built
[00:17:13] into
[00:17:13] it
[00:17:14] that
[00:17:15] can
[00:17:15] support
[00:17:16] that
[00:17:16] treatment
[00:17:17] conversation
[00:17:17] remotely
[00:17:18] and
[00:17:19] that's
[00:17:19] where
[00:17:19] the
[00:17:19] lines
[00:17:20] start
[00:17:20] to
[00:17:20] become
[00:17:20] a
[00:17:20] little
[00:17:21] bit
[00:17:21] blurred
[00:17:21] but
[00:17:22] we
[00:17:23] do
[00:17:23] have
[00:17:23] requests
[00:17:25] sometimes
[00:17:25] for
[00:17:26] medication
[00:17:26] management
[00:17:27] functionality
[00:17:28] within
[00:17:28] the
[00:17:29] platform
[00:17:29] for it
[00:17:30] to feed
[00:17:30] automatically
[00:17:31] into
[00:17:32] pharmacies
[00:17:33] for
[00:17:33] dispensing
[00:17:34] etc
[00:17:35] etc
[00:17:35] however
[00:17:36] we
[00:17:37] like
[00:17:38] to
[00:17:38] very
[00:17:40] much
[00:17:40] keep
[00:17:40] within
[00:17:41] the
[00:17:41] realm
[00:17:41] of
[00:17:42] data
[00:17:43] gathering
[00:17:43] and
[00:17:44] patient
[00:17:44] engagement
[00:17:44] it
[00:17:45] is
[00:17:45] far
[00:17:46] harder
[00:17:47] than
[00:17:47] people
[00:17:47] appreciate
[00:17:49] to
[00:17:50] engage
[00:17:50] patients
[00:17:51] to
[00:17:51] engage
[00:17:51] clinicians
[00:17:52] and
[00:17:52] to
[00:17:52] build
[00:17:53] a
[00:17:53] tool
[00:17:54] that
[00:17:54] people
[00:17:55] actually
[00:17:55] use
[00:17:56] so
[00:17:56] let's
[00:17:56] be
[00:17:57] honest
[00:17:57] if
[00:17:58] people
[00:17:58] don't
[00:17:58] use
[00:17:58] it
[00:17:59] then
[00:17:59] there's
[00:17:59] no
[00:18:00] value
[00:18:00] in
[00:18:00] the
[00:18:00] software
[00:18:01] whatsoever
[00:18:01] so we
[00:18:02] very much
[00:18:03] focus
[00:18:03] on
[00:18:03] what we
[00:18:04] would say
[00:18:04] in our
[00:18:05] wheelhouse
[00:18:06] in making
[00:18:07] that
[00:18:07] data
[00:18:08] gathering
[00:18:08] process
[00:18:09] and risk
[00:18:10] identification
[00:18:10] as seamless
[00:18:11] as possible
[00:18:13] the
[00:18:14] treatment
[00:18:15] and what we
[00:18:16] traditionally call
[00:18:16] telemedicine
[00:18:17] is a
[00:18:19] different
[00:18:19] arm of
[00:18:20] the
[00:18:22] industry
[00:18:23] however
[00:18:23] we very
[00:18:25] much see
[00:18:25] this as being
[00:18:26] a tool
[00:18:27] that supports
[00:18:27] clinicians
[00:18:28] to make
[00:18:29] those
[00:18:29] treatment
[00:18:29] decisions
[00:18:30] themselves
[00:18:30] thank you
[00:18:34] Bruce
[00:18:34] Liam
[00:18:34] when we
[00:18:35] talk about
[00:18:36] remote
[00:18:36] patient
[00:18:37] monitoring
[00:18:37] there's
[00:18:38] technology
[00:18:38] that's
[00:18:39] involved
[00:18:39] in
[00:18:40] making
[00:18:40] sure
[00:18:41] that
[00:18:41] you
[00:18:41] can
[00:18:42] provide
[00:18:42] it
[00:18:42] as a
[00:18:43] healthcare
[00:18:43] provider
[00:18:43] so
[00:18:44] what
[00:18:45] kind
[00:18:45] of
[00:18:45] challenges
[00:18:46] do
[00:18:46] you
[00:18:46] see
[00:18:47] that
[00:18:47] the
[00:18:48] customers
[00:18:48] struggle
[00:18:49] with
[00:18:49] most
[00:18:50] often
[00:18:50] what
[00:18:51] are
[00:18:51] the
[00:18:52] support
[00:18:52] issues
[00:18:53] that
[00:18:54] you
[00:18:54] get
[00:18:55] addressed
[00:18:55] with
[00:18:56] a lot
[00:18:57] so
[00:18:57] I think
[00:18:57] it's
[00:18:57] very
[00:18:58] interesting
[00:18:58] to
[00:18:58] unveil
[00:18:59] that
[00:18:59] a
[00:18:59] little
[00:19:00] bit
[00:19:00] because
[00:19:00] when
[00:19:01] we
[00:19:01] talk
[00:19:02] about
[00:19:02] mobile
[00:19:03] healthcare
[00:19:03] and
[00:19:04] using
[00:19:04] remote
[00:19:05] patient
[00:19:05] monitoring
[00:19:05] it's
[00:19:07] easy
[00:19:07] to
[00:19:07] imagine
[00:19:08] how
[00:19:08] it
[00:19:08] works
[00:19:09] in
[00:19:09] the
[00:19:09] ideal
[00:19:09] scenario
[00:19:10] however
[00:19:11] there's
[00:19:12] issues
[00:19:13] with
[00:19:13] lack
[00:19:13] of
[00:19:13] connectivity
[00:19:14] with
[00:19:14] the
[00:19:14] type
[00:19:15] of
[00:19:15] devices
[00:19:15] with
[00:19:16] many
[00:19:17] other
[00:19:17] things
[00:19:17] so
[00:19:17] I'm
[00:19:18] wondering
[00:19:18] what
[00:19:18] can
[00:19:19] be
[00:19:19] mentioned
[00:19:19] here
[00:19:20] very
[00:19:21] good
[00:19:21] question
[00:19:21] actually
[00:19:22] a lot
[00:19:22] of
[00:19:22] the
[00:19:22] stuff
[00:19:23] that
[00:19:23] we
[00:19:23] see
[00:19:23] these
[00:19:24] days
[00:19:24] when
[00:19:25] I
[00:19:25] go out
[00:19:25] to
[00:19:26] clinics
[00:19:26] we
[00:19:27] try
[00:19:27] to
[00:19:27] onboard
[00:19:27] patients
[00:19:28] is
[00:19:28] device
[00:19:29] compatibility
[00:19:29] obviously
[00:19:30] I
[00:19:31] believe
[00:19:31] the
[00:19:32] ClinTouch
[00:19:32] software
[00:19:33] doesn't
[00:19:34] run on
[00:19:35] or the
[00:19:35] application
[00:19:35] doesn't
[00:19:36] run on
[00:19:36] specifically
[00:19:37] Huawei
[00:19:37] devices
[00:19:38] due to
[00:19:38] underlying
[00:19:39] political
[00:19:40] issues
[00:19:40] with
[00:19:41] app
[00:19:42] stores
[00:19:42] and
[00:19:42] whatnot
[00:19:43] so
[00:19:43] a lot
[00:19:43] of
[00:19:44] patients
[00:19:44] that
[00:19:45] are
[00:19:45] older
[00:19:46] will
[00:19:46] have
[00:19:46] older
[00:19:47] phones
[00:19:47] older
[00:19:48] software
[00:19:48] on
[00:19:48] their
[00:19:49] phones
[00:19:49] older
[00:19:49] operating
[00:19:49] software
[00:19:50] that
[00:19:50] don't
[00:19:51] necessarily
[00:19:51] allow
[00:19:52] for the
[00:19:52] application
[00:19:53] to be
[00:19:53] loaded
[00:19:54] barring
[00:19:54] that
[00:19:55] it's
[00:19:55] more so
[00:19:56] the
[00:19:56] age
[00:19:57] of
[00:19:57] the
[00:19:57] patient
[00:19:57] but
[00:19:58] it's
[00:19:58] also
[00:19:58] it's
[00:19:59] a
[00:19:59] specific
[00:20:00] type
[00:20:01] of
[00:20:01] person
[00:20:01] more so
[00:20:02] than
[00:20:02] the
[00:20:02] age
[00:20:02] itself
[00:20:03] because
[00:20:03] you
[00:20:03] get
[00:20:03] 80
[00:20:04] year
[00:20:04] old
[00:20:04] people
[00:20:04] who
[00:20:05] can
[00:20:05] work
[00:20:05] that
[00:20:05] flawlessly
[00:20:06] and
[00:20:06] you
[00:20:07] get
[00:20:07] some
[00:20:07] 63
[00:20:08] year
[00:20:08] old
[00:20:08] people
[00:20:08] who
[00:20:09] don't
[00:20:09] know
[00:20:09] how
[00:20:09] to
[00:20:10] set
[00:20:10] date
[00:20:10] ranges
[00:20:10] and
[00:20:11] whatever
[00:20:11] for
[00:20:11] support
[00:20:12] purposes
[00:20:13] a good
[00:20:13] example
[00:20:13] would be
[00:20:14] recently
[00:20:14] a patient
[00:20:15] asked
[00:20:15] to
[00:20:15] have
[00:20:16] their
[00:20:17] app
[00:20:17] re-activated
[00:20:18] because
[00:20:18] they
[00:20:18] got a
[00:20:18] new
[00:20:18] phone
[00:20:18] sent
[00:20:19] them
[00:20:19] all the
[00:20:19] details
[00:20:20] and
[00:20:20] whatnot
[00:20:20] this
[00:20:21] patient
[00:20:21] is
[00:20:21] 65
[00:20:22] going
[00:20:22] on
[00:20:22] 66
[00:20:23] years
[00:20:23] old
[00:20:23] and
[00:20:24] he
[00:20:24] was
[00:20:24] unable
[00:20:25] to
[00:20:25] do
[00:20:25] the
[00:20:26] remote
[00:20:26] activation
[00:20:26] itself
[00:20:27] on
[00:20:27] the
[00:20:27] application
[00:20:28] because
[00:20:29] he
[00:20:29] didn't
[00:20:29] understand
[00:20:29] the
[00:20:30] way
[00:20:30] that
[00:20:30] the
[00:20:30] user
[00:20:30] interface
[00:20:31] worked
[00:20:31] whereas
[00:20:32] we
[00:20:32] have
[00:20:32] other
[00:20:33] patients
[00:20:33] who
[00:20:33] are
[00:20:34] 70
[00:20:34] going
[00:20:35] on
[00:20:35] 80
[00:20:35] years
[00:20:35] old
[00:20:36] being
[00:20:36] managed
[00:20:37] it
[00:21:00] to
[00:21:00] our
[00:21:01] lack
[00:21:01] of
[00:21:01] tech
[00:21:01] savviness
[00:21:02] maybe
[00:21:02] in
[00:21:03] the
[00:21:03] older
[00:21:03] generations
[00:21:04] but
[00:21:04] at
[00:21:04] this
[00:21:05] stage
[00:21:05] it
[00:21:05] is
[00:21:05] more
[00:21:05] the
[00:21:06] user
[00:21:06] interface
[00:21:07] issues
[00:21:07] that
[00:21:07] comes
[00:21:08] there
[00:21:08] okay
[00:21:08] awesome
[00:21:09] thank you
[00:21:09] John do you
[00:21:10] have anything
[00:21:11] to add
[00:21:11] to that
[00:21:12] from your
[00:21:12] perspective
[00:21:12] what do
[00:21:13] you see
[00:21:13] in
[00:21:14] Nigeria
[00:21:15] how do
[00:21:16] you see
[00:21:16] the
[00:21:17] technology
[00:21:18] that
[00:21:18] they
[00:21:18] need
[00:21:18] to
[00:21:19] use
[00:21:19] and
[00:21:20] maybe
[00:21:20] you
[00:21:20] can
[00:21:20] think
[00:21:21] beyond
[00:21:21] Clinetouch
[00:21:22] and also
[00:21:23] other
[00:21:24] technologies
[00:21:24] that
[00:21:25] are
[00:21:26] used
[00:21:26] in
[00:21:27] Nigeria
[00:21:27] for
[00:21:28] your
[00:21:28] patients
[00:21:29] I
[00:21:33] think
[00:21:33] with
[00:21:33] technology
[00:21:34] as a
[00:21:34] whole
[00:21:35] the
[00:21:36] first
[00:21:36] thing
[00:21:36] is
[00:21:37] frost
[00:21:37] in
[00:21:38] what
[00:21:39] you're
[00:21:40] trying
[00:21:40] to get
[00:21:40] them
[00:21:41] to do
[00:21:41] with
[00:21:41] the
[00:21:41] technology
[00:21:42] a lot
[00:21:43] of
[00:21:43] people
[00:21:43] look
[00:21:44] beyond
[00:21:44] okay
[00:21:45] is
[00:21:45] this
[00:21:45] going
[00:21:45] to
[00:21:45] collect
[00:21:46] more
[00:21:46] than
[00:21:46] my
[00:21:46] healthcare
[00:21:47] detail
[00:21:47] will
[00:21:48] look
[00:21:48] something
[00:21:48] else
[00:21:49] here
[00:21:49] so
[00:21:49] you
[00:21:49] have
[00:21:49] to
[00:21:49] convince
[00:21:50] them
[00:21:50] that
[00:21:51] the
[00:21:51] technology
[00:21:52] is
[00:21:52] basically
[00:21:52] geared
[00:21:53] to
[00:21:53] what
[00:21:53] it's
[00:21:54] supposed
[00:21:54] to
[00:21:54] do
[00:21:54] nothing
[00:21:55] outside
[00:21:56] of
[00:21:56] that
[00:21:57] and
[00:21:57] then
[00:21:58] you
[00:21:58] have
[00:21:58] reliability
[00:21:59] issues
[00:22:00] when
[00:22:00] you put
[00:22:01] in
[00:22:01] a
[00:22:01] new
[00:22:01] app
[00:22:01] on
[00:22:02] the
[00:22:02] phone
[00:22:02] you
[00:22:03] have
[00:22:03] people
[00:22:03] that
[00:22:03] have
[00:22:03] got
[00:22:03] like
[00:22:04] Liam
[00:22:04] said
[00:22:04] old
[00:22:05] phones
[00:22:06] and
[00:22:06] you
[00:22:07] now
[00:22:07] have
[00:22:07] to
[00:22:07] say
[00:22:07] okay
[00:22:08] how
[00:22:08] reliable
[00:22:08] is
[00:22:09] the
[00:22:09] phone
[00:22:09] in
[00:22:09] the
[00:22:09] first
[00:22:09] systems
[00:22:10] that
[00:22:10] you're
[00:22:11] imputing
[00:22:12] the
[00:22:12] technology
[00:22:12] on
[00:22:13] so
[00:22:14] apart
[00:22:14] from
[00:22:15] that
[00:22:15] there's
[00:22:15] the
[00:22:15] cost
[00:22:16] some
[00:22:17] people
[00:22:17] use
[00:22:17] regular
[00:22:18] phones
[00:22:18] that
[00:22:18] may
[00:22:18] not
[00:22:18] be
[00:22:19] data
[00:22:19] capable
[00:22:20] now
[00:22:20] you
[00:22:21] want
[00:22:21] them
[00:22:21] to
[00:22:21] use
[00:22:21] an
[00:22:22] app
[00:22:22] download
[00:22:23] an
[00:22:23] app
[00:22:23] on
[00:22:23] a
[00:22:24] phone
[00:22:24] that
[00:22:24] actually
[00:22:25] uses
[00:22:25] data
[00:22:26] which
[00:22:26] for
[00:22:27] them
[00:22:27] they only
[00:22:28] use
[00:22:28] for
[00:22:28] whatsapp
[00:22:29] and
[00:22:29] nothing
[00:22:29] else
[00:22:30] it's
[00:22:30] supposed
[00:22:30] to be
[00:22:31] strictly
[00:22:31] for
[00:22:31] entertainment
[00:22:32] and
[00:22:33] now
[00:22:33] it's
[00:22:33] supposed
[00:22:34] to
[00:22:34] help
[00:22:34] monitor
[00:22:34] their
[00:22:36] health
[00:22:36] and
[00:22:37] their
[00:22:37] conditions
[00:22:38] so
[00:22:39] there
[00:22:39] are
[00:22:39] times
[00:22:40] a
[00:22:40] concern
[00:22:40] trying
[00:22:40] to
[00:22:41] convince
[00:22:41] them
[00:22:41] that
[00:22:42] certain
[00:22:42] things
[00:22:43] are
[00:22:43] required
[00:22:43] for
[00:22:44] their
[00:22:45] health
[00:22:46] and
[00:22:46] wellness
[00:22:47] there's
[00:22:48] this
[00:22:48] skepticism
[00:22:49] and
[00:22:49] then
[00:22:50] there's
[00:22:50] the
[00:22:50] fact
[00:22:50] that
[00:22:51] there's
[00:22:51] local
[00:22:52] situations
[00:22:53] in which
[00:22:53] you have
[00:22:54] different
[00:22:54] network
[00:22:55] providers
[00:22:56] that
[00:22:56] are more
[00:22:56] amenable
[00:22:57] to the
[00:22:57] use
[00:22:58] of
[00:22:58] certain
[00:22:58] apps
[00:22:59] than
[00:22:59] others
[00:23:00] so
[00:23:01] all
[00:23:01] these
[00:23:01] things
[00:23:01] we
[00:23:01] have
[00:23:01] to
[00:23:02] leapfrog
[00:23:02] to
[00:23:02] make
[00:23:02] sure
[00:23:03] this
[00:23:03] works
[00:23:03] again
[00:23:04] where
[00:23:04] you
[00:23:05] try
[00:23:05] to
[00:23:05] explain
[00:23:06] the
[00:23:06] patient
[00:23:06] is
[00:23:07] the
[00:23:07] fact
[00:23:07] that
[00:23:07] it's
[00:23:08] something
[00:23:08] that's
[00:23:08] been
[00:23:08] used
[00:23:09] in
[00:23:09] the
[00:23:09] UK
[00:23:09] their
[00:23:10] first
[00:23:12] reluctance
[00:23:13] is
[00:23:13] okay
[00:23:13] how
[00:23:14] does
[00:23:14] that
[00:23:14] translate
[00:23:14] to
[00:23:15] what
[00:23:15] we're
[00:23:15] trying
[00:23:15] to
[00:23:15] do
[00:23:16] here
[00:23:16] so
[00:23:17] I
[00:23:17] have
[00:23:17] to
[00:23:17] explain
[00:23:18] to
[00:23:18] them
[00:23:18] that
[00:23:18] it
[00:23:18] doesn't
[00:23:18] matter
[00:23:19] whether
[00:23:19] in
[00:23:19] the
[00:23:20] UK
[00:23:21] hypertension
[00:23:21] is
[00:23:22] hypertension
[00:23:22] anywhere
[00:23:23] in
[00:23:23] the
[00:23:23] world
[00:23:23] so
[00:23:23] it's
[00:23:23] heart
[00:23:24] failure
[00:23:24] so
[00:23:25] if
[00:23:25] those
[00:23:25] in
[00:23:25] UK
[00:23:32] conversations
[00:23:32] around
[00:23:33] all
[00:23:33] that
[00:23:34] including
[00:23:34] the
[00:23:34] fact
[00:23:34] that
[00:23:35] at
[00:23:35] times
[00:23:35] people
[00:23:35] have
[00:23:36] power
[00:23:36] issues
[00:23:37] and
[00:23:37] they'll
[00:23:37] say
[00:23:38] we
[00:23:38] haven't
[00:23:38] had
[00:23:38] power
[00:23:39] for
[00:23:39] a
[00:23:40] market
[00:23:40] they
[00:23:40] have
[00:23:41] and
[00:23:41] diesel
[00:23:42] is
[00:23:42] expensive
[00:23:43] I've
[00:23:44] just
[00:23:44] decided
[00:23:44] to
[00:23:44] just
[00:23:45] leave
[00:23:45] my
[00:23:45] device
[00:23:45] for
[00:23:46] now
[00:23:46] until
[00:23:46] power
[00:23:47] is
[00:23:47] more
[00:23:47] affordable
[00:23:48] and
[00:23:49] accessible
[00:23:49] and
[00:23:49] available
[00:23:50] and
[00:23:51] that
[00:23:51] may
[00:23:51] be
[00:23:52] beyond
[00:23:52] where
[00:23:52] they
[00:23:52] need
[00:23:52] to
[00:23:52] give
[00:23:53] you
[00:23:53] information
[00:23:53] on
[00:23:54] their
[00:23:54] data
[00:23:54] so
[00:23:54] there
[00:23:54] are
[00:23:55] numerous
[00:23:55] things
[00:23:55] that
[00:23:55] we
[00:23:56] have
[00:23:56] to
[00:23:56] leapfrog
[00:23:56] in
[00:23:57] trying
[00:23:58] to
[00:23:58] make
[00:23:58] this
[00:23:58] work
[00:23:59] but
[00:23:59] the
[00:24:00] convenience
[00:24:00] of
[00:24:01] the
[00:24:01] fact
[00:24:01] that
[00:24:02] you
[00:24:02] can
[00:24:02] just
[00:24:02] get
[00:24:02] your
[00:24:03] information
[00:24:03] to
[00:24:03] your
[00:24:03] doctors
[00:24:04] right
[00:24:04] there
[00:24:04] and
[00:24:05] then
[00:24:05] in
[00:24:05] your
[00:24:05] house
[00:24:06] at
[00:24:06] times
[00:24:07] makes
[00:24:07] it
[00:24:07] worse
[00:24:07] going
[00:24:08] through
[00:24:09] whatever
[00:24:09] that
[00:24:09] people
[00:24:09] see
[00:24:10] as
[00:24:10] the
[00:24:10] struggle
[00:24:10] of
[00:24:11] dealing
[00:24:12] with
[00:24:12] remontation
[00:24:12] monitoring
[00:24:13] that
[00:24:13] okay
[00:24:13] I
[00:24:13] don't
[00:24:25] you
[00:24:26] have
[00:24:26] to
[00:24:26] balance
[00:24:26] what
[00:24:27] the
[00:24:27] concerns
[00:24:28] are
[00:24:28] based
[00:24:29] on
[00:24:29] each
[00:24:29] individual
[00:24:30] patient
[00:24:31] ball
[00:24:31] on
[00:24:32] the
[00:24:32] whole
[00:24:32] with
[00:24:33] technology
[00:24:33] it's
[00:24:34] the
[00:24:34] same
[00:24:35] issues
[00:24:35] you
[00:24:35] set
[00:24:35] it
[00:24:36] back
[00:24:36] of
[00:24:36] the
[00:24:37] country
[00:24:37] in
[00:24:37] the
[00:24:37] limited
[00:24:38] data
[00:24:39] transmission
[00:24:39] they don't
[00:24:40] have so
[00:24:41] many
[00:24:41] coverage
[00:24:41] of
[00:24:42] with
[00:24:42] cell
[00:24:42] phone
[00:24:42] towers
[00:24:43] you
[00:24:43] have
[00:24:43] to
[00:24:43] take
[00:24:44] that
[00:24:44] into
[00:24:44] consideration
[00:24:45] and
[00:24:45] say
[00:24:45] okay
[00:24:45] I
[00:24:46] will
[00:24:46] send
[00:24:46] somebody
[00:24:47] to
[00:24:47] collect
[00:24:47] the
[00:24:47] information
[00:24:48] who
[00:24:48] doesn't
[00:24:49] necessarily
[00:24:50] reside
[00:24:51] in
[00:24:51] your
[00:24:51] locality
[00:24:51] that
[00:24:52] has
[00:24:52] the
[00:24:57] information
[00:25:01] to
[00:25:02] the
[00:25:02] physician
[00:25:03] so
[00:25:03] you
[00:25:03] have
[00:25:03] to
[00:25:03] find
[00:25:04] ways
[00:25:04] to
[00:25:05] look
[00:25:05] for
[00:25:05] the
[00:25:05] different
[00:25:06] challenges
[00:25:06] that
[00:25:06] come
[00:25:07] up
[00:25:07] with
[00:25:07] different
[00:25:08] individual
[00:25:08] patients
[00:25:08] because
[00:25:09] they're
[00:25:09] usually
[00:25:10] never
[00:25:10] the
[00:25:25] brought
[00:25:25] in
[00:25:25] from
[00:25:26] abroad
[00:25:27] on
[00:25:27] the
[00:25:27] one
[00:25:27] hand
[00:25:27] all
[00:25:28] smartphones
[00:25:29] are
[00:25:30] not
[00:25:31] locally
[00:25:32] made
[00:25:32] more or
[00:25:32] less
[00:25:33] so
[00:25:33] all
[00:25:34] the
[00:25:34] big
[00:25:34] brands
[00:25:34] that
[00:25:35] we
[00:25:35] use
[00:25:35] on
[00:25:36] a
[00:25:36] daily
[00:25:36] basis
[00:25:36] we
[00:25:37] are
[00:25:37] used
[00:25:37] for
[00:25:38] that
[00:25:38] to
[00:25:38] not
[00:25:38] be
[00:25:39] local
[00:25:39] technology
[00:25:39] and
[00:25:55] I
[00:25:56] think
[00:25:56] we
[00:25:56] were
[00:25:57] well
[00:25:57] received
[00:25:57] right
[00:25:58] I
[00:25:58] think
[00:25:58] the
[00:25:59] tech
[00:25:59] is
[00:25:59] actually
[00:25:59] amazing
[00:26:00] I
[00:26:00] think
[00:26:00] it's
[00:26:01] quite
[00:26:01] elegant
[00:26:02] we
[00:26:02] as a
[00:26:03] tech
[00:26:03] company
[00:26:04] has
[00:26:04] been
[00:26:04] working
[00:26:04] with
[00:26:05] remote
[00:26:06] solutions
[00:26:06] for
[00:26:07] many
[00:26:07] years
[00:26:07] the
[00:26:09] cell
[00:26:09] phone
[00:26:09] is
[00:26:09] just
[00:26:10] the
[00:26:10] pinnacle
[00:26:10] of
[00:26:11] remote
[00:26:11] access
[00:26:12] in
[00:26:12] South
[00:26:12] Africa
[00:26:13] the
[00:26:13] electronic
[00:26:14] record
[00:26:14] has
[00:26:15] been
[00:26:15] going
[00:26:15] very
[00:26:15] strong
[00:26:16] for
[00:26:16] donkey
[00:26:16] years
[00:26:17] but
[00:26:18] this
[00:26:18] is
[00:26:18] really
[00:26:18] a
[00:26:19] real
[00:26:19] proper
[00:26:20] introduction
[00:26:21] to
[00:26:21] patient
[00:26:22] involvement
[00:26:23] because
[00:26:24] although
[00:26:25] previous
[00:26:25] exercises
[00:26:26] in
[00:26:27] South
[00:26:27] Africa
[00:26:27] didn't
[00:26:28] involve
[00:26:29] the
[00:26:29] patient
[00:26:29] the
[00:26:30] world
[00:26:30] of
[00:26:30] the
[00:26:30] provider
[00:26:31] is
[00:26:31] now
[00:26:31] augmented
[00:26:32] with
[00:26:32] rich
[00:26:33] clinical
[00:26:33] data
[00:26:34] and
[00:26:35] countless
[00:26:36] to
[00:26:36] provide
[00:26:36] it
[00:26:37] to
[00:26:37] make
[00:26:37] decisions
[00:26:37] on the
[00:26:38] fly
[00:26:38] and
[00:26:38] faster
[00:26:39] the
[00:26:40] problems
[00:26:40] that we
[00:26:41] have
[00:26:41] is
[00:26:41] obviously
[00:26:42] introduction
[00:26:42] to
[00:26:43] market
[00:26:43] right
[00:26:44] it's
[00:26:44] a
[00:26:44] brand
[00:26:44] new
[00:26:45] product
[00:26:45] in
[00:26:46] South
[00:26:46] Africa
[00:26:47] like
[00:26:47] all
[00:26:47] around
[00:26:48] the
[00:26:48] world
[00:26:48] there's
[00:26:48] quite
[00:26:55] and
[00:26:56] when
[00:26:56] we
[00:26:56] phone
[00:26:56] the
[00:26:57] patient
[00:26:57] the
[00:26:57] first
[00:26:58] time
[00:26:58] they're
[00:26:58] a bit
[00:26:59] skeptical
[00:26:59] they want
[00:27:01] access
[00:27:01] to my
[00:27:01] phone
[00:27:02] but
[00:27:02] we
[00:27:03] had
[00:27:04] many
[00:27:04] examples
[00:27:05] and
[00:27:06] opportunities
[00:27:07] to
[00:27:08] re-engineer
[00:27:09] how we
[00:27:09] engage
[00:27:10] with the
[00:27:10] patient
[00:27:10] the
[00:27:11] first
[00:27:11] time
[00:27:11] and
[00:27:11] since
[00:27:12] we
[00:27:12] got
[00:27:12] that
[00:27:12] how we
[00:27:13] engage
[00:27:13] with the
[00:27:14] patient
[00:27:14] and
[00:27:15] consent
[00:27:15] with
[00:27:15] the
[00:27:15] patient
[00:27:16] and
[00:27:17] the
[00:27:17] medical
[00:27:17] age
[00:27:17] schemes
[00:27:18] we
[00:27:19] tweak
[00:27:20] the
[00:27:20] consent
[00:27:21] a bit
[00:27:22] so
[00:27:23] then
[00:27:23] the
[00:27:23] patient
[00:27:24] are
[00:27:24] okay
[00:27:24] we
[00:27:25] from
[00:27:25] ABC
[00:27:26] or
[00:27:26] we
[00:27:27] from
[00:27:27] DEF
[00:27:28] we
[00:27:28] from
[00:27:28] their
[00:27:29] medical
[00:27:29] age
[00:27:30] scheme
[00:27:30] and
[00:27:31] then
[00:27:31] it's
[00:27:31] pretty
[00:27:31] straightforward
[00:27:32] I
[00:27:33] don't
[00:27:33] think
[00:27:33] that's
[00:27:34] our
[00:27:34] stumbling
[00:27:34] block
[00:27:34] at
[00:27:35] the
[00:27:35] moment
[00:27:35] our
[00:27:36] access
[00:27:36] to
[00:27:36] patients
[00:27:37] are
[00:27:37] there
[00:27:37] the
[00:27:38] patients
[00:27:38] enjoy
[00:27:39] it
[00:27:39] the
[00:27:39] providers
[00:27:40] love
[00:27:40] it
[00:27:40] because
[00:27:41] they're
[00:27:41] seeing
[00:27:42] the
[00:27:42] outcome
[00:27:43] and how
[00:27:43] quickly
[00:27:44] they can
[00:27:44] intervene
[00:27:45] on a
[00:27:45] patient
[00:27:45] what we're
[00:27:46] busy
[00:27:46] doing
[00:27:47] at the
[00:27:47] moment
[00:27:47] is
[00:27:48] getting
[00:27:48] the
[00:27:48] financial
[00:27:49] model
[00:27:49] right
[00:27:49] because
[00:27:50] remember
[00:27:51] when you
[00:27:52] ask the
[00:27:53] patient
[00:27:53] to
[00:27:53] participate
[00:27:54] no
[00:27:54] problem
[00:27:54] but
[00:27:55] behind
[00:27:55] the
[00:27:55] patient
[00:27:56] sits
[00:27:56] either
[00:27:57] her
[00:27:57] physician
[00:27:57] or
[00:27:58] her
[00:27:59] doctor
[00:27:59] and
[00:28:00] it's
[00:28:00] not
[00:28:01] a
[00:28:01] free
[00:28:01] service
[00:28:01] those
[00:28:03] doctors
[00:28:03] need
[00:28:03] to
[00:28:04] be
[00:28:04] paid
[00:28:04] for
[00:28:04] the
[00:28:05] service
[00:28:05] that
[00:28:05] they
[00:28:05] provide
[00:28:06] and
[00:28:07] like
[00:28:07] I
[00:28:11] obviously
[00:28:11] there
[00:28:12] are
[00:28:12] barriers
[00:28:12] in
[00:28:13] the
[00:28:13] reimbursement
[00:28:14] model
[00:28:14] it's
[00:28:14] the
[00:28:14] clinic
[00:28:15] touch
[00:28:15] system
[00:28:15] it's
[00:28:16] the
[00:28:16] medical
[00:28:16] aid
[00:28:17] scheme
[00:28:17] administrators
[00:28:18] the
[00:28:19] claim
[00:28:19] needs
[00:28:19] to
[00:28:19] arise
[00:28:20] there
[00:28:20] this
[00:28:21] co-operability
[00:28:22] involved
[00:28:23] in
[00:28:24] getting
[00:28:24] all
[00:28:25] the
[00:28:25] data
[00:28:25] up
[00:28:25] and
[00:28:26] down
[00:28:41] you
[00:28:42] look
[00:28:42] at
[00:28:43] potential
[00:28:43] partners
[00:28:44] or
[00:28:45] vendors
[00:28:45] that
[00:28:46] you're
[00:28:46] going
[00:28:46] to
[00:28:46] work
[00:28:46] with
[00:28:47] to
[00:28:47] integrate
[00:28:47] data
[00:28:48] so
[00:28:48] Bruce
[00:28:49] from
[00:28:49] your
[00:28:49] perspective
[00:28:50] you're
[00:28:50] basically
[00:28:50] looking
[00:28:51] at
[00:28:51] companies
[00:28:52] that
[00:28:52] are
[00:28:52] going
[00:28:53] to
[00:28:53] be
[00:28:53] your
[00:28:53] distributors
[00:28:54] or
[00:28:55] new
[00:28:55] customers
[00:28:56] and
[00:28:56] Liam
[00:28:56] you
[00:28:57] have
[00:28:58] a
[00:28:58] different
[00:28:59] perspective
[00:28:59] because
[00:29:00] you
[00:29:00] really
[00:29:00] need
[00:29:00] to
[00:29:01] look
[00:29:01] at
[00:29:01] different
[00:29:01] solutions
[00:29:02] that
[00:29:02] need
[00:29:02] to
[00:29:03] work
[00:29:03] together
[00:29:03] to
[00:29:04] get
[00:29:04] the
[00:29:04] maximum
[00:29:04] out
[00:29:05] of
[00:29:05] all
[00:29:06] the
[00:29:06] data
[00:29:06] that
[00:29:06] patients
[00:29:07] are
[00:29:07] gathering
[00:29:08] so
[00:29:09] Bruce
[00:29:10] do
[00:29:10] you
[00:29:10] want
[00:29:10] to
[00:29:10] start
[00:29:11] yes
[00:29:13] so
[00:29:14] for
[00:29:15] me
[00:29:15] new
[00:29:16] partner
[00:29:17] perspective
[00:29:17] the
[00:29:18] and I
[00:29:19] would
[00:29:19] genuinely
[00:29:20] say
[00:29:20] the
[00:29:20] most
[00:29:21] important
[00:29:21] thing
[00:29:21] for
[00:29:22] us
[00:29:22] is
[00:29:22] cultural
[00:29:23] fit
[00:29:25] we
[00:29:26] obsess
[00:29:26] about
[00:29:27] culture
[00:29:27] here at
[00:29:28] Clinics
[00:29:28] and also
[00:29:29] our
[00:29:31] vision
[00:29:31] and our
[00:29:32] vision
[00:29:32] is to
[00:29:32] make
[00:29:32] healthcare
[00:29:33] accessible
[00:29:35] affordable
[00:29:35] and easy
[00:29:36] for all
[00:29:37] and we
[00:29:38] genuinely
[00:29:38] want this
[00:29:39] technology
[00:29:39] in the
[00:29:39] hands
[00:29:39] of millions
[00:29:40] of patients
[00:29:40] around the
[00:29:41] world
[00:29:42] and future
[00:29:42] so we
[00:29:43] want people
[00:29:44] who share
[00:29:46] our vision
[00:29:47] and cultural
[00:29:48] fit for us
[00:29:50] in line
[00:29:50] with that
[00:29:51] and hopefully
[00:29:52] you've seen
[00:29:52] that on the
[00:29:53] call with
[00:29:54] John and
[00:29:55] Yarpy and
[00:29:56] Liam today
[00:29:56] is a passion
[00:29:57] for the
[00:29:57] difference
[00:29:58] that digital
[00:29:58] healthcare
[00:29:59] can make
[00:29:59] it isn't
[00:30:00] easy
[00:30:01] just at
[00:30:02] times
[00:30:02] there's
[00:30:03] hurdles
[00:30:03] to overcome
[00:30:04] there's
[00:30:04] challenges
[00:30:05] we've
[00:30:05] heard quite
[00:30:05] a few
[00:30:06] of them
[00:30:06] today
[00:30:06] so you
[00:30:07] need
[00:30:08] that
[00:30:08] passion
[00:30:08] in your
[00:30:09] heart
[00:30:09] that this
[00:30:10] will make
[00:30:10] a big
[00:30:10] difference
[00:30:11] it will
[00:30:11] achieve
[00:30:12] the mission
[00:30:13] and the
[00:30:13] goal
[00:30:13] which is
[00:30:14] ultimately
[00:30:14] to improve
[00:30:15] patient
[00:30:15] lives
[00:30:15] and access
[00:30:16] to
[00:30:17] healthcare
[00:30:18] if I get
[00:30:19] down to
[00:30:20] the
[00:30:20] a little bit
[00:30:21] more
[00:30:21] almost
[00:30:22] operational
[00:30:22] stuff
[00:30:23] almost
[00:30:23] from our
[00:30:24] experience
[00:30:24] we know
[00:30:25] the NHS
[00:30:26] really well
[00:30:26] we're very
[00:30:27] well connected
[00:30:27] we've been
[00:30:28] doing this
[00:30:28] almost 15
[00:30:29] years now
[00:30:30] in the
[00:30:30] UK
[00:30:32] and we
[00:30:32] have the
[00:30:33] network
[00:30:33] so when
[00:30:34] we have
[00:30:34] a wild
[00:30:35] and wonderful
[00:30:35] new idea
[00:30:36] or we
[00:30:37] see a new
[00:30:37] application
[00:30:38] for remote
[00:30:38] patient
[00:30:38] monitoring
[00:30:39] there's
[00:30:39] people we
[00:30:40] can go
[00:30:40] and talk
[00:30:40] to
[00:30:41] there's
[00:30:41] places
[00:30:41] we can
[00:30:41] go and
[00:30:42] pilot
[00:30:42] it
[00:30:42] etc
[00:30:43] we also
[00:30:44] look
[00:30:45] for
[00:30:45] within our
[00:30:46] partners
[00:30:47] to have
[00:30:47] that
[00:30:48] network
[00:30:48] to be
[00:30:49] able to
[00:30:49] go and
[00:30:49] test
[00:30:50] and
[00:30:50] trial
[00:30:51] and
[00:30:53] essentially
[00:30:53] to collaborate
[00:30:54] within their
[00:30:56] territories
[00:30:56] with
[00:30:57] organisations
[00:30:57] to figure
[00:30:59] out how
[00:30:59] to fit
[00:31:01] Clinietouch
[00:31:01] into the
[00:31:02] market
[00:31:02] that
[00:31:02] peer-to-peer
[00:31:03] support
[00:31:03] is super
[00:31:05] important
[00:31:05] as well
[00:31:05] so that
[00:31:07] network
[00:31:07] is really
[00:31:08] important
[00:31:08] to us
[00:31:09] and also
[00:31:10] a real
[00:31:12] willingness
[00:31:13] to learn
[00:31:14] from us
[00:31:15] but learning
[00:31:16] is a two
[00:31:16] way thing
[00:31:17] as I said
[00:31:18] we've been
[00:31:18] doing this
[00:31:19] a large
[00:31:20] number of
[00:31:20] years
[00:31:20] so we
[00:31:22] have a
[00:31:22] great deal
[00:31:22] of experience
[00:31:23] from how
[00:31:24] to deploy
[00:31:25] this
[00:31:25] technology
[00:31:26] and how
[00:31:27] to deploy
[00:31:27] it well
[00:31:28] however
[00:31:29] our partners
[00:31:30] have the
[00:31:31] local
[00:31:31] expertise
[00:31:32] in their
[00:31:33] specific
[00:31:33] health
[00:31:33] economies
[00:31:34] in where
[00:31:34] to fit
[00:31:35] this
[00:31:35] and how
[00:31:35] to make
[00:31:36] this
[00:31:36] work
[00:31:37] that
[00:31:38] passion
[00:31:39] for
[00:31:39] shared
[00:31:40] learning
[00:31:40] both
[00:31:40] between
[00:31:41] us
[00:31:42] and
[00:31:42] our
[00:31:42] partners
[00:31:43] but also
[00:31:43] really
[00:31:44] importantly
[00:31:44] between
[00:31:45] our
[00:31:46] partners
[00:31:46] themselves
[00:31:47] absolutely
[00:31:48] Liam what
[00:31:49] would you
[00:31:50] have to
[00:31:50] say to
[00:31:50] that
[00:31:51] from your
[00:31:51] perspective
[00:31:51] when it
[00:31:52] comes to
[00:31:52] partnerships
[00:31:53] and
[00:31:53] collaborations
[00:31:53] to
[00:31:54] connect
[00:31:55] even
[00:31:55] other
[00:31:56] providers
[00:31:56] potentially
[00:31:57] for
[00:31:57] both
[00:31:58] patient
[00:31:58] monitoring
[00:31:59] and one
[00:31:59] thing
[00:32:00] that caught
[00:32:00] my
[00:32:00] attention
[00:32:01] earlier
[00:32:01] when
[00:32:01] Yapi
[00:32:02] was
[00:32:02] talking
[00:32:02] was
[00:32:03] that
[00:32:04] a lot
[00:32:04] of
[00:32:04] cell phone
[00:32:05] fraud
[00:32:05] happens
[00:32:06] so can
[00:32:07] you
[00:32:07] maybe
[00:32:07] just
[00:32:08] explain
[00:32:08] what
[00:32:09] kind
[00:32:09] of
[00:32:09] fraud
[00:32:10] patients
[00:32:11] are
[00:32:11] basically
[00:32:12] threatened
[00:32:12] by
[00:34:45] listening
[00:34:45] to
[00:34:45] faces
[00:34:45] of
[00:34:46] digital
[00:34:46] health
[00:34:46] a
[00:34:47] proud
[00:34:47] member
[00:34:47] of
[00:34:48] the
[00:34:48] health
[00:34:48] podcast
[00:34:49] network
[00:34:49] if you
[00:34:50] enjoyed
[00:34:50] the
[00:34:51] show
[00:34:51] do
[00:34:51] leave
[00:34:52] a
[00:34:52] rating
[00:34:52] or
[00:34:52] review
[00:34:53] wherever
[00:34:53] you
[00:34:53] get
[00:34:53] your
[00:34:54] podcast
[00:34:54] subscribe
[00:34:55] to
[00:34:55] the
[00:34:56] show
[00:34:56] or
[00:34:56] follow
[00:34:57] us
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